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    v1.0.28
    OpenPayerNPI Medicare & MedicaidWilfredo Lara
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    Wilfredo Lara — Billing Profile & Reimbursement Data

    NPI 1942238522 · Miami, FL · Ophthalmology Physician

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    Wilfredo Lara is a ophthalmology physician provider located in Miami, Florida. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWilfredo Lara
    Address351 Nw 42nd Ave
    CityMiami
    StateFL
    ZIP33126
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 30, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$705.8K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg370$680$253.7K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.1,210$100$122.3K
    J2777Injection, faricimab‑svoa, 0.1 mg2,760$30$80K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,170$70$79.3K
    J7999Compounded drug, not otherwise classified900$60$52.4K
    92134The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.1,190$30$35.8K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…270$90$24.4K
    J9999Not otherwise classified, antineoplastic drugs200$60$12.6K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.30$430$12.1K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…380$30$11.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178159250800$690$817.6K
    J277716217012,810$30$549.2K
    6702898300710$90$91.1K
    920147802,180160$80$28.5K
    67210153030$410$24.6K
    92012461,170110$60$16.7K
    J79999190130$70$16.4K
    922359319050$100$12K
    921341681,610110$30$11.9K
    67228223030$280$11.7K

    Showing 1–10 of 15

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Wilfredo Lara, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marco GonzalezFLOphthalmology Physician$3.7M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Jay LevyFLOphthalmology Physician$791.2K$0
    Claudio FerreiraFLOphthalmology Physician$685.8K$43.8K
    Anup KubalFLOphthalmology Physician$626.7K$0
    Shailesh GuptaFLRetina Specialist (Ophthalmology) Physician$508.1K$43.1K
    Sulaiman AlhumaidFLRetina Specialist (Ophthalmology) Physician$282.6K$0
    Debbie AliFLOptometrist$126.5K$0
    Gil EpsteinFLOphthalmic Plastic and Reconstructive Surgery Physician$89.9K$0
    Marc GannonFLLow Vision Rehabilitation Optometrist$54.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Wilfredo Lara, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epicmd Technologies LLCFLTransportation Broker$0$55M
    Home Care Plus Inc.FLHome Health Agency$0$37M
    Dd Health Home Care IncFLHome Health Agency$0$18.2M
    Professional Solutions Home Health Agency IncFLHome Health Agency$0$17.8M
    Health Med Home Care LLCFLHome Health Agency$0$16.8M
    Florida Behavioral Center, IncFLCommunity/Behavioral Health Agency$0$16M
    Odyssey Healthcare Of Marion County, LLCFLCommunity Based Hospice Care Agency$0$15.8M
    Us Med, LLCFLCommunity/Retail Pharmacy$0$12.9M
    Lifetime Solutions Agency, LLCFLCommunity/Behavioral Health Agency$0$10.8M
    Residential Plaza At Blue LagoonFLAssisted Living Facility$0$9.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Wilfredo Lara — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida